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2.19.2016 P4P Value Set Directory The Ambulatory Surgery Option A and Laboratory and Pathology Services value sets each contain 8 codes that begin with “X” (e.g., X1020913) and are labeled as CPT codes. Are these valid codes, and should they be used for P4P reporting?

No. The CPT codes that begin with “X” are not valid and are not required for use in P4P reporting. Organizations can exclude these codes from the value set. If these codes were included in P4P programming, it is expected that there will be no impact; the codes are not valid and will not occur in claims data.

ALL 2015